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目的对78例不同类型眼睑缺损修复与重建回顾性总结，了解显微手术应用的必要性。方法43例采用眼科显微手术器械，部分在手术显微镜下操作。35例采用普通手术器械在肉眼下操作。结果显微手术组创面全部I期愈合，眼睑外形良好。普通手术组1例延期愈合，7例遗留肉眼可见细小瘢痕。两组癫痕形成率P＜0．01。结论证明了显微手术在眼睑缺损的修复与重建中必要和可行。
Objective To retrospectively review 78 cases of different types of eyelid defect repair and reconstruction to understand the necessity of microsurgical application. Methods 43 cases using ophthalmic microsurgical instruments, some operating under the microscope. 35 cases using ordinary surgical instruments in the naked eye operation. Results All the wounds in the microsurgery group healed with a good eyelid appearance. One case of normal operation group delayed healing, small residual scar visible in 7 cases. The incidence of epilepsy in both groups was P <0.01. The conclusion proves that microsurgery is necessary and feasible in the repair and reconstruction of eyelid defects.